Causes of failure of pneumatic retinopexy
Objective: To determine the causes of failure in eyes that underwent pneumatic retinopexy at the University of the Philippines-Philippine General Hospital (UP-PGH). Methods: A retrospective review of pneumatic retinopexy procedures performed at the UP-PGH from January 1996 to December 2002 was un...
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Philippine Academy of Ophthalmology
2004-09-01
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| Series: | Philippine Journal of Ophthalmology |
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| Online Access: | https://paojournal.com/index.php/pjo/article/view/455 |
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| author | Roberto E. Flaminiano, MD Robert T. Sy, MD Milagros H. Arroyo, MD Pearl Tamesis-Villalon, MD |
| author_facet | Roberto E. Flaminiano, MD Robert T. Sy, MD Milagros H. Arroyo, MD Pearl Tamesis-Villalon, MD |
| author_sort | Roberto E. Flaminiano, MD |
| collection | DOAJ |
| description | Objective: To determine the causes of failure in eyes that underwent pneumatic retinopexy at the University of the Philippines-Philippine General Hospital (UP-PGH).
Methods: A retrospective review of pneumatic retinopexy procedures performed at the UP-PGH from January 1996 to December 2002 was undertaken. Seventeen cases were analyzed as to preoperative and intraoperative variables: age; sex; preoperative visual acuity; presence of proliferative vitreoretinopathy(PVR); extent of retinal detachment; presence of macular detachment; presence, number, and type of lattice degeneration; previous cataract surgery; surgeon factor; and intraoperative use of cryotherapy. Two-tailed Fisher’s exact test and Chi square test were used in the analysis of statistical significance.
Results: The following variables were shown to be significantly correlated with failure: eyes with breaks outside the 11-1 o’clock meridians (p = 0.02), eyes with less than or equal to 3 quadrants of retinal detachment (p = 0.05), and preoperative visual acuity worse than 5/60 (p < 0.100).
Conclusion: Failure in eyes with retinal breaks outside the 11-1 o’clock meridians suggested poor patient compliance with regard to postoperative posture. In eyes with less than or equal to three quadrants of detachment, failure may ensue as a result of spillover of subretinal fluid to uninvolved quadrants. Future success with pneumatic retinopexy will rely ultimately on careful patient selection, surgeon familiarity with the technique, and patient cooperation. |
| format | Article |
| id | doaj-art-bb6c4f98da7743709ebbf0b9d6e71865 |
| institution | DOAJ |
| issn | 0031-7659 |
| language | English |
| publishDate | 2004-09-01 |
| publisher | Philippine Academy of Ophthalmology |
| record_format | Article |
| series | Philippine Journal of Ophthalmology |
| spelling | doaj-art-bb6c4f98da7743709ebbf0b9d6e718652025-08-20T02:49:43ZengPhilippine Academy of OphthalmologyPhilippine Journal of Ophthalmology0031-76592004-09-01293122126455Causes of failure of pneumatic retinopexyRoberto E. Flaminiano, MD0Robert T. Sy, MD1Milagros H. Arroyo, MD2Pearl Tamesis-Villalon, MD3Department of Ophthalmology and Visual Sciences University of the Philippines Philippine General Hospital Manila, PhilippinesDepartment of Ophthalmology and Visual Sciences University of the Philippines Philippine General Hospital Manila, PhilippinesDepartment of Ophthalmology and Visual Sciences University of the Philippines Philippine General Hospital Manila, PhilippinesDepartment of Ophthalmology and Visual Sciences University of the Philippines Philippine General Hospital Manila, PhilippinesObjective: To determine the causes of failure in eyes that underwent pneumatic retinopexy at the University of the Philippines-Philippine General Hospital (UP-PGH). Methods: A retrospective review of pneumatic retinopexy procedures performed at the UP-PGH from January 1996 to December 2002 was undertaken. Seventeen cases were analyzed as to preoperative and intraoperative variables: age; sex; preoperative visual acuity; presence of proliferative vitreoretinopathy(PVR); extent of retinal detachment; presence of macular detachment; presence, number, and type of lattice degeneration; previous cataract surgery; surgeon factor; and intraoperative use of cryotherapy. Two-tailed Fisher’s exact test and Chi square test were used in the analysis of statistical significance. Results: The following variables were shown to be significantly correlated with failure: eyes with breaks outside the 11-1 o’clock meridians (p = 0.02), eyes with less than or equal to 3 quadrants of retinal detachment (p = 0.05), and preoperative visual acuity worse than 5/60 (p < 0.100). Conclusion: Failure in eyes with retinal breaks outside the 11-1 o’clock meridians suggested poor patient compliance with regard to postoperative posture. In eyes with less than or equal to three quadrants of detachment, failure may ensue as a result of spillover of subretinal fluid to uninvolved quadrants. Future success with pneumatic retinopexy will rely ultimately on careful patient selection, surgeon familiarity with the technique, and patient cooperation.https://paojournal.com/index.php/pjo/article/view/455pneumatic retinopexyretinal detachmentproliferative vitreoretinopathy |
| spellingShingle | Roberto E. Flaminiano, MD Robert T. Sy, MD Milagros H. Arroyo, MD Pearl Tamesis-Villalon, MD Causes of failure of pneumatic retinopexy Philippine Journal of Ophthalmology pneumatic retinopexy retinal detachment proliferative vitreoretinopathy |
| title | Causes of failure of pneumatic retinopexy |
| title_full | Causes of failure of pneumatic retinopexy |
| title_fullStr | Causes of failure of pneumatic retinopexy |
| title_full_unstemmed | Causes of failure of pneumatic retinopexy |
| title_short | Causes of failure of pneumatic retinopexy |
| title_sort | causes of failure of pneumatic retinopexy |
| topic | pneumatic retinopexy retinal detachment proliferative vitreoretinopathy |
| url | https://paojournal.com/index.php/pjo/article/view/455 |
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